| NPI | 1831763747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY-MARETTE RUSSELL Speech Language Pathologist 907-350-5363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |